Stephanie L Broussard in Houston - Neonatal
Stephanie L Broussard - NPI 1851597504
Stephanie L Broussard is a Neonatal in Houston, Texas. Stephanie L Broussard practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Stephanie L Broussard is 1851597504. The last update date is 2022-02-10.
Stephanie L Broussard's current location address is 6410 Fannin St, Houston, Texas. You can contact this provider via phone number 8323257111 and fax number 7135122227. The mailing address for Stephanie L Broussard is 6410 Fannin St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie L Broussard |
|---|---|
| Address | 6410 Fannin St, Houston, Texas |
| Phone Number | 8323257111 |
| Fax Number | 7135122227 |
| Sole Proprietor | N |
| Credentials | NNP |
NPI Number Detail
| NPI Number | 1851597504 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2022-02-10 |
Provider Mailing Address Detail
| Address | 6410 Fannin St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770303000 |
| Phone Number | 8323257111 |
| Fax Number | 7135122227 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | 670437 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8Y3004 | TX | BCBS | |
| 189514601 | TX | -- | |
| 189514602 | TX | CSHCN |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie L Broussard by the Centers for Medicare & Medicaid Services?
The Stephanie L Broussard has been assigned the NPI (National Provider Identifier) 1851597504. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephanie L Broussard's physical address?
The Stephanie L Broussard is physically located at 6410 Fannin St, in the city of Houston, TX, with the postal code 770303000.
What is Stephanie L Broussard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephanie L Broussard's area of specialization is Neonatal, and the corresponding taxonomy code that categorizes this field of practice is 363Ln0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851597504 to Stephanie L Broussard?
The Centers for Medicare & Medicaid Services originally issued the 1851597504 to Stephanie L Broussard on 2007-06-21.
When was the information related to Stephanie L Broussard most recently updated or refreshed?
The details pertaining to the Stephanie L Broussard, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-10.
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